C04e_Attach 4_Herbicide Application Log Modified.pdf

This is a daily log form for herbicide application documentation required under Solicitation #12443926Q0185. The form is a modified version of the 2510 Data Form and serves as a template for contractors to record detailed information about herbicide applications conducted at various district units (Ava, Cassville, Willow Springs, Houston, or Rolla).

The form requires contractors to document application site location data including latitude/longitude or township/range/section coordinates and GPS usage confirmation. Key operational details must be recorded including the application date, time start and stop, temperature, wind speed and direction, cloud cover, relative humidity, and distance to water. The form requires identification of the licensed applicator and any additional applicators involved. Contractors must specify each herbicide product used, including the product name, percentage solution or product rate, unit of measure (ounces per gallon or per acre), diluent type, and total volume used. Similarly, all surfactant or adjuvant products must be documented with product name, solution percentage or rate, and unit of measure. On the reverse side, contractors must document the species treated, location-specific descriptions (with separate entries for different roads or fields), herbicide name, estimated area treated, and volume used. An "Other Comments" section is provided for additional relevant information. Questions regarding the form should be directed to Antoinette Sitting Up Perez at 417-683-4428.